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1124186739
COLLEEN MANGAN
MILWAUKEE, WI
NPI
1124186739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 905)
Enumeration Date
2006-12-05
Last Update Date
2008-06-18
Business Address
-- COLLEEN MANGAN CSAC
1225 W HISTORIC MITCHELL ST STE 223
MILWAUKEE, WI 53204-3383
Phone number: 414-383-4455
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Mailing Address
-- COLLEEN MANGAN CSAC
1225 W HISTORIC MITCHELL ST STE 223
MILWAUKEE, WI 53204-3383
Phone number: 414-383-4455
Copy
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